| NPI | 1366705626 |
|---|---|
| Former Name | MARISA SARA MANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MT201266) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT201266) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2014-07-08 |